Organization Active NPI

Glenn T. Hifumi, M.D.

  • Surgery Physician
  • Bellflower, CA
National Provider Identifier
1710138466
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A68228 Issued in CA
Legal business name
GLENN T. HIFUMI, M.D.
Practice address
9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039
Phone
(562) 925-8892
Fax
(562) 866-5978
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glenn T. Hifumi, M.D.NPI 1427138262
Title
President
Phone
(562) 925-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A68228 CA Primary

Addresses

Primary practice location

9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039

Mailing address

9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039
Phone (562) 925-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000411 CA Part B Supplier - Clinic/Group Practice 5698818979 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1710138466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD",
            "address_2": "SUITE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068039",
            "telephone_number": "562-925-8892",
            "fax_number": "562-866-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD",
            "address_2": "SUITE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068039",
            "telephone_number": "562-925-8892",
            "fax_number": "562-866-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN T. HIFUMI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "HIFUMI",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-925-8892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A68228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.